How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $776.25 | Professional | None | $331.13 | $512.86 | $776.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $588.84 | Professional | None | $371.54 | $371.54 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,122.02 | Facility | None | $602.56 | $933.25 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $724.44 | Professional | None | $346.74 | $549.54 | $724.44 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $26,302.68 | Facility | None | $501.19 | $954.99 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $2,454.71 Typical High $3,801.89 | Professional | None | $512.86 | $2,454.71 | $3,801.89 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $724.44 | Professional | None | $323.59 | $501.19 | $724.44 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $257.04 Typical High $389.05 | Professional | 52 · Reduced service | $165.96 | $257.04 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $102.33 Typical High $154.88 | Professional | 53 · Discontinued | $66.07 | $102.33 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $389.05 Typical High $588.84 | Professional | 54 · Surgery only | $251.19 | $389.05 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $77.62 Typical High $117.49 | Professional | 55 · Aftercare only | $50.12 | $77.62 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $51.29 Typical High $77.62 | Professional | 56 · Pre-op care only | $33.11 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $363.08 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $234.42 | $363.08 | $549.54 |
Where Kansas sits
The same service costs 5.1 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 17th of 51
$589
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.